facebook tracking Level 8 Urology and Related Services cost in Iowa: 10 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Iowa

What 10 hospitals in Iowa charged and were paid for level 8 urology and related services (APC 5378), from 2024 Medicare claims.

APC 5378 Outpatient 2024 Medicare data
Average charge $74,492 Hospital list price billed
Average allowed $16,478 Medicare's payment + patient's share
Medicare paid $14,846 Average per service
State rank #7 of 38 1 = lowest average payment

Hospitals in Iowa billed an average of $74,492 for level 8 urology and related services, about 4.5 times the average medicare-allowed amount of $16,478. That payment is 14% below the U.S. average of $19,057.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $16,478Billed $74,492

About 22¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 8 urology and related services

Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
University of Iowa Hospital & ClinicsIowa City 22 $74,492 $16,478 $14,846
Mary Greeley Medical CenterAmes – – – –
Genesis Medical Center-DavenportDavenport – – – –
St Lukes HospitalCedar Rapids – – – –
Mercy Medical Center-North IowaMason City – – – –
Iowa Methodist Medical CenterDes Moines – – – –
Mercy Medical Center-Des MoinesDes Moines – – – –
Broadlawns Medical CenterDes Moines – – – –
Allen Memorial HospitalWaterloo – – – –
St Lukes Regional Medical CenterSioux City – – – –
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Level 8 Urology and Related Services in other states

Questions

How much does level 8 urology and related services cost in Iowa?

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 10 hospitals in Iowa was billed at $74,492 on average, while the average medicare-allowed amount was $16,478, of which Medicare paid $14,846. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Iowa, average charges were 4.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.